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SR0078355
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4200/4300 - Liquid Waste/Water Well Permits
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SR0078355
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Last modified
6/25/2020 3:46:39 PM
Creation date
6/25/2020 10:15:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
SR0078355
PE
4211
FACILITY_NAME
SALVADOR GARCIA
STREET_NUMBER
21044
Direction
E
STREET_NAME
MEZA
STREET_TYPE
LN
City
LINDEN
Zip
95236
APN
18336065
ENTERED_DATE
11/6/2017 12:00:00 AM
SITE_LOCATION
21044 E MEZA LN
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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SEPTIC SYSTEM INSPECTION CHECK LIST <br /> ADDRESS: p, t-117 PERMIT# S"D�� -35-5 <br /> Check box ACTUAL MEETS SJC <br /> PARAMETER if inspected MEASUREMENT STANDARDS? COMMENTS <br /> SEPTIC TANK: <br /> CORRECT TANK CAPACITY? ��© "' <br /> Y N <br /> DISTANCE TO FOUNDATION? Y N <br /> DISTANCE TO PROPERTY LINE? Y N <br /> DISTANCE TO ANY WELLS? Y N <br /> TANK LEVEL AND ORIENTED CORRECTLY? `/ ` Y N len v►-, W's i <br /> SANITARY TEES CORRECTLY INSTALLED? 'Y N jAA <br /> CORRECT TYPE OF PIPING? �/ TM�2�2 Y & <br /> TANK VENTED? O N <br /> ANY TANK ABNORMALITIES NOTED? Y N <br /> OTHER Y N <br /> DISTRIBUTION BOX: <br /> DISTANCE FROM TANK? N <br /> DISTANCE TO NEAREST LEACH LINE? 6 N <br /> DOES SYSTEM HAVE EQUAL DISTRIBUTION? V ('Y N <br /> IS D-BOX LEVEL? <br /> OTHER Y N <br /> LEACH FIELD: (LL=LEACH LINES) <br /> DISTANCE TO PROPERTY LINE? C) N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? ✓ Z Y N <br /> / <br /> DISTANCE OF SOIL BARRIER BETWEEN LL'S? lti <br /> Y N <br /> CORRECT DEPTH OF LL TRENCHES? yO— L4 6j Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? n. Y <br /> CORRECT WIDTH OF LL TRENCHES? N <br /> CORRECT LENGTH OF LL TRENCHES? N <br /> CORRECT TYPE OF PIPING? S'r Y 0 <br /> OTHER Y N <br /> SEEPAGE PITS: <br /> DISTANCE TO PROPERTY LINE? K N <br /> DISTANCE TO ANY WATER WELLS? N <br /> DISTANCE TO NEAREST FOUNDATION? 1 i VJ N <br /> DISTANCE OF SOIL BARRIER TO PITS? Y N <br /> CORRECT DEPTH AND TYPE OF ROCK? iZ <br /> 715 S Y <br /> CORRECT WIDTH? <br /> OTHER Pl,1 i y 9 <br /> Y <br /> MISCELLANEOUS: <br /> DOES PERMIT DRAWING REFLECT ACCURATE LOCATION OF SYSTEM? � N <br /> DOES PERMIT DRAWING SHOW SUFFICIENT DETAIL TO LOCATE IN FUTURE? �� N <br /> ANY NO ANSWER A OVE RE UIRES PERMIT TO BE REDRAWN. <br /> COMMENTS: V -9 - 0 Z 2 �"J�/!� <br /> o-►� G A•� o - a Se-0— <br /> C, +, O So ;il", <br /> 'N <br /> awi <br /> LL �r �✓ ' <br /> 1 <br /> yrp 017. S o ) <br /> ok 5— ,h. L,etiL <br /> INSPECTED BY(--r-)�% �� DATE: <br />
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